| NPI | 1194306415 |
|---|---|
| Former Name | SHANNON GAIL BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10772-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 258903-30) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-03-05 |